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The SeasonED RD is a podcast for all professionals in the field of eating disorders who want a “one-stop-shop” for the resources, the people, and the connections that matter. Whether you are newly seasoned (intern, student, or newer professional in the field) or well seasoned, this podcast is for you. Let’s learn together!
Episodes
Saturday Mar 04, 2023
Saturday Mar 04, 2023
Dr. Phillip Mehler, MD, CEDS
Eating disorders are mind-body Illnesses and are curable.
“Remember, I’m a medical provider not a mental health provider”, however, medical providers can help reduce shame
You can no longer applaud any weight loss – medical complications are happening at all sizes.
This field is burgeoning – there are new opportunities, new research, and new findings all the time.
Dr. Mehler’s Seasonings:
It takes several bites of the apple – never give up hope
Professional alignments – expect much from each other and share resources.
Book: Eating Disorders: A comprehensive guide to medical care and complications, 4th edition
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Dr. Philip Mehler founded the ACUTE Center for Eating Disorders & Severe Malnutrition at Denver Health and continues to serve as its Chief Executive Officer. He began his career at Denver Health more than 30 years ago and was formerly its Chief of Internal Medicine. He was Denver Health’s Chief Medical Officer (CMO) for 10 years until he was promoted to its Medical Director, a position he held until his retirement in 2014. He is also the Glassman Professor of Medicine at the University of Colorado School of Medicine and has conducted research into the optimal medical treatment of the most severe cases of Anorexia Nervosa and Bulimia. Dr. Mehler has authored more than 500 scientific publications, including three textbooks published by Johns Hopkins University Press and with a fourth edition slated for release later this year. Dr. Mehler was the recipient of the Academy of Eating Disorders 2012 Outstanding Clinician Award, has been recognized among the “Best Doctors in America” for the past 22 years in a row, and was voted the “Top Internal Medicine physician in Denver” multiple times by 5280 Magazine. Dr. Mehler is a member and fellow of the Eating Disorders Research Society and the Academy of Eating Disorders, as well as a member of the editorial board of the International Journal of Eating Disorders and serves as the Senior Editor of The Journal of Eating Disorders. He has lectured extensively on a national and international level as the leading medical expert on the topic of the medical complications of eating disorders.
Friday Feb 24, 2023
Friday Feb 24, 2023
Delaney Wesselink, PT, DPT, CEDS
*Sometimes just being with our patients and listening is what's needed
*This patient population is fragile - forward fold to compression fractures?
*Evidence based activity for eating disorders is discussed and isn't for everyone
*Assessing strength, balance, fall risk.
*Listen to pause and rethink common phrases we use to motivate patients
*empathy - "It's so hard to be in a brain that tells me I have to exercise for my mind to quiet down."
*What happens with over exercise and the microtears in muscle that you don’t have nutrition reserves to repair?
Delaney’s Seasonings:
*link to Michelle Laging episode
*Keep articles handy to share with patients
*Advice to newer professionals - Don't be so hard on yourself
*Sitting and talking is way more valuable than “OK great, let’s work on strength”
Articles from Delaney:
- Medical and physiological complications of exercise for individuals with an eating disorder: A narrative review
- Structural and functional changes in skeletal muscle in AN
- Soft Tissue and Bony Injuries in Yoga
- Reduced Bone Strength and Muscle Force
- Effects of exercise on bone mass
Bio:
Originally from Boise, Idaho, Delaney received her BS in Exercise Science at the University of Montana in Missoula, MT. Expanding upon her love for the mountains, she pursued her Doctorate in Physical Therapy at the University of Colorado at the Anschutz Medical Campus, and has since made Denver her home. Delaney began her career working in pediatrics with children with developmental disabilities, although she has always had a passion for inpatient rehabilitation and acute care. Delaney is an avid snowboarder, soccer player, and outdoor enthusiast. She strives to teach patients to honor their bodies through movement while creating a healthy and meaningful relationship with exercise.
https://www.denverhealth.org/services/acute-center-for-eating-disorders
With your host Beth Harrell
Friday Feb 17, 2023
Friday Feb 17, 2023
Sumner Brooks, MPH, RDN, CEDRD
Topics include:
Always remember there’s more that we don’t know. We're always making mistakes.
How many people are suffering?!? – Weight loss (or requiring kids to eat vegetables) will never be the answer to well-being and happiness.
3 keys in "How to Raise an Intuitive Eater"
- Unconditional love and support for your child’s body - emotional
- implement flexible and reliable feeding routine – technical
- Develop and use your own intuitive eating voice – body language, speaking about bodies, and why being aware is important
HOW TO NOT TO DISTURB MENTAL HEALTH WITH FOOD
Nuggets on helping resistant parents
ED RD PRO - Coming Up - September 1st Athletes, November – Family Based Treatment Informed
How to Raise an Intuitive Eater Book
Sumner's Seasonings:
- Intuitive Eating
- Supervision
- Work experiences
- Learning more about weight neutral care and weight stigma
- Vulnerability
Bio:
SUMNER BROOKS, MPH, RDN, CEDRD, is a mom and licensed registered dietitian nutritionist based in Oregon who has spent nearly 15 years working in the field of nutrition and eating disorders. Her experience includes providing nutrition therapy for adolescents and adults, public speaking, and pursuing advanced training in trauma-informed, weight-inclusive healthcare. She is also the founder of the online training platform Eating Disorder Registered Dietitians and Professionals (EDRD Pro).
With your host Beth Harrell
Saturday Feb 11, 2023
Saturday Feb 11, 2023
Em Palmerton, RD
What massage therapy and yoga taught this ED RD.
Em’s RED-S revolution
Eating disorder informed nutrition care is for all RDs
Listen in for Em’s response to Abbi’s question to clients seeking weight loss
Dietitians are well-equipped to work with ambivalence.
Social Media makes it so much harder.
Amanda Mellowspring’s episode (Cant webinar all the time)
Em’s Seasonings:
MarciRD Body image course
You don’t have to know everything.
Somatics
Bio:
Emily (Em) Palmerton is from Buffalo, NY and has been a dietitian since July 2022. She began her career as a fitness instructor and massage therapist and felt something was missing, so she returned to school to study nutrition. She currently works in private practice with the goal of becoming dually certified as a certified specialist in sports dietetics and an eating disorder specialist. Furthermore, she is a registered yoga teacher (200 hours) with hopes to include somatics in her eating disorder practice. She resides in WNY with her husband, dog, and cat, as well as keeps a pretty intense garden for all 4 months of warm weather in Buffalo.
https://www.instagram.com/fueledby_em/
With your host Beth Harrell
Friday Feb 03, 2023
Friday Feb 03, 2023
Which comes first- Improved body image or weight gain?
Kids WILL grow out before they grow up.
AAN (‘Atypical Anorexia’) takes longer to get periods back, not clear with males.
Goal weight is the place where body and brain are healthy – HEALTHY STATE
HOW RIGID ARE COGNITIONS?? –It’s the last thing to get better.
Physical and mental – if we have estimated weight goal and look ok physically but rigidity is still there, we still need to push.
What do Leptin levels tell us? – or not.
Weight suppression has a profound effect of the brain and behavior
What if parents don’t suck? Meet parents where they are, and be respectful of parents.
As a field, remember our own humility.
The doctor needs to be the consultant.
Dr. Peebles Seasonings:
- Healthy State instead of Goal Weight
- As a field, remember our own humility
- Dr Erin Accurso https://twitter.com/erinaccurso
Bio:
Dr. Peebles is an assistant professor in the Division of Adolescent Medicine at The Children's Hospital of Philadelphia and the University of Pennsylvania School of Medicine.
Prior to joining CHOP, she was an instructor at Stanford University School of Medicine's Division of Adolescent Medicine, Department of Pediatrics, and was primarily involved with the Eating Disorders Program and the Center for Healthy Weight at the Lucile Packard Children’s Hospital.
Dr. Peebles’ research interests focus on the health outcomes of disordered eating in adolescents of diverse weight ranges, and how the Internet can be used as a vector to both help and harm young people as they try to approach a healthy weight. Her most recent work has been funded by the American Heart Association.
With your host Beth Harrell
Friday Jan 27, 2023
Friday Jan 27, 2023
I care, and you matter.
About half kids who have had suicidal thoughts have parents who didn’t know
People actually don’t want to die, they want suffering to end
It’s is a HARD discussion for all clinicians – lean into the discomfort
We have frank discussions about suicide and improving comfort levels of clinicians
“I can help you”
Share with teens the famous people who have gotten through a similar situation
Psychiatry doesn’t always mean medications, consultation to get information - usually there are very good reasons why people are cautious, and we can learn a lot about why family is hesitant to follow the treatment plan.
On weight topics:
Weight and appetite with psychotropic medications – Focus a lot less on numbers and more on behaviors
Hydration, variety of foods, movement at a baseline,
"I’ve written letters...isn't that tough that we have to write letters for patients to advocate for themselves in the doctor’s office?"
Dr Sullivant’s Seasonings:
*Partner with people who are more experienced to build confidence due to recovery
The Columbia Lighthouse project
FREE Training for Individuals and Systems The Columbia Lighthouse Project
American Foundation for Suicide Prevention also has great resources:
What to do when someone is at risk | AFSP
Great resource on all things mental health to share with parents/caregivers:
Child Mind Institute | Transforming Children's Lives
Info on my research program, Prepped and Ready: Parenting into the Teen Years:
Prepped and Ready | Children's Mercy Kansas City (childrensmercy.org)
Bio:
Shayla Sullivant, MD
Dr. Shayla Sullivant completed undergraduate training at Creighton University and medical school at the University of Kansas, where she also completed a residency in adult psychiatry and fellowship in child and adolescent psychiatry. Since 2010 she has been on staff at Children's Mercy Kansas City where she currently serves as an associate professor and chief of the section of psychiatry. In July 2019 Dr. Sullivant was the recipient of the Shining Star award for having the highest patient satisfaction ratings among the medical staff at Children’s Mercy. Dr. Sullivant co-leads the suicide prevention research group at Children’s Mercy. Her current work focuses on providing education for parents on ways to reduce suicide risk for adolescents, including safe storage.
With your host Beth Harrell
![A Psychiatrist’s Perspective on Nutrition, Medication and Language [Medical Series]](https://deow9bq0xqvbj.cloudfront.net/ep-logo/pbblog11197775/episode_80-DrBrad-SRD_300x300.jpeg){kind=logo}
Friday Jan 20, 2023
Friday Jan 20, 2023
Does food matter if we can just give meds?
What are Dr Zehring’s two pillars that we need for meds to work?
The starved brain becomes anxious/obsessive, team using the same language is important
The focus is to get nutritional rehabilitation first
Bio-Psycho-Social-Spiritual
Empowering clients to open up teaches us so much
The “Core Four” – primary care, therapy, dietitian, psychiatry
What about appetite and Adderall?
Medication compliance decreases the more often people have to take them
It’s a difficult field, this is going to take time – how do I walk alongside
Sit in the messiness of the powerlessness
Do no harm.
Dr Zehring’s Seasonings:
- Reach out to colleagues to fill in the gaps. Two who are instrumental are Dr. Jennifer Gaudiani and Dr. Margherita Mascalo
- Using common language – be persistent in collaboration
- CBT-I – Sleep is important
Bio:
Brad Zehring, DO is a Board-Certified Psychiatrist and Diplomate of the American Board of Psychiatry and Neurology who specializes in the treatment of eating disorders and co-occurring psychiatric disorders. He completed his psychiatry residency from the University of Arizona – Phoenix Campus. His desire to treat eating disorders was born out of a personal connection which fueled his passion to learn all he could to help deliver the best psychiatric care. This passion led to him starting his private practice in Arizona (Arizona Restorative Psychiatry) where he has delivered expert outpatient psychiatric care in the treatment of eating disorders throughout the United States.
More recently, he has begun the next chapter of his career as Chief Medical Officer for Montare Behavioral Health and Trellis Recovery Centers where he can continue his focus on leadership, mentoring, and expert psychiatric care to patients with psychiatric disorders and eating disorders.
He will continue supervising Erica Neal PA-C who will remain at Arizona Restorative Psychiatry specializing in patients with eating disorders in Arizona. Dr. Zehring can be reached for questions or comments at bzehring@azrpsych.com.
Ophelia’s Place
https://www.opheliasplace.org/
With your host Beth Harrell
Saturday Jan 14, 2023
Saturday Jan 14, 2023
Royce Diamond, Abbi Brown, Beth Harrell
Join us for this continued conversation about wrapping up this podcast as we know it.
“Why is Taylor Swift on my Spotify Wrapped?” Abbi
Cancel Culture, shifting professional focus, clients who leave the room, Royce’s answer’s to our icebreakers and more.
And rolling out soon, Supervision Membership - $5/month with exclusive content that I want to share with YOU. The best way to learn when membership rolls out is to sign up for Supervision Freebies.
With your host Beth Harrell
Saturday Jan 07, 2023
Saturday Jan 07, 2023
Today we talk the work of the RDN in any treatment setting, from LTC, to acute care, and for those who are veterans. We pull it all together with the psychology of medical nutrition therapy (MNT).
How to help our clients/patients/residents consume the food that will nourish? It’s all about relationships.
And communication is key.
Those Foods? ALL Are Ok
Epigenetics, grace, compassion and full-on medical nutrition therapy (MNT).
David’s Seasonings:
*Communication, compassion, empathy and RELATIONSHIP
*Dr Marci Swede – Mentor to David on understanding human genetics –
Article for you with Dr Marci and Tzippi Weiss
“Transforming Preprofessional Health Education Through Relationship-
Centered Care and Narrative Medicine“
*Dr. Gaby “The Book” Nutritional Medicine
Bio:
David Triger, MS, RDN, CDN is a Doctoral Student at the University of Kansas Medical Center, Clinical Nutrition Manager at New York State Veterans Home at St. Albans and Adjunct Professor at Long Island University - Post. Over the past 3 years he has worked in the Long Term Care and the Acute Care settings as a Registered Dietitian working with patients through the lifespan from Pediatrics to Geriatrics. Through his clinical experience, he has seen the need for Clinical Dietitians to have training for their eventual role in the care of patients who present with eating disorder behaviors in a variety of settings.
With your host Beth Harrell
Friday Dec 30, 2022
Friday Dec 30, 2022
Join us for this conversation that marks the beginning of this podcast and the plans to move into a different phase of our lives.
I didn't know Royce was recording the first part, so it's definitely UNplugged!
We talk about how the podcast was started, and what has been going on for us during the past couple of years, and eventually we will get to the reason and the season – stay tuned.
- What is narrative nutrition?
- The importance of the team.
And something new rolling out soon, Supervision Membership - $5/month with exclusive content that I want to share with YOU.
With your host Beth Harrell